CPC Certified Medical Coder

Job Summary

To support a growing pediatric practice, the remote Medical Coding & Billing Specialist will ensure timely and accurate claims submission, compliance, and payment while collaborating with providers and the data team to streamline workflows and reduce denials.

Key responsibilities

• Submit clean, timely claims with accurate coding and validate eligibility and authorization for patient encounters
• Review provider documentation to assign accurate codes and educate providers to improve documentation
• Collaborate with cross-functional teams to track claim trends and align workflows with payer requirements

Required qualifications

• AAPC Certified Professional Coder (CPC) required
• 3-5 years' experience in physician billing and coding, preferably in pediatrics
• Proficiency with Athena EMR and Microsoft Excel
• Deep understanding of CPT, HCPCS, ICD-10, HEDIS, and Medicaid/commercial payers
• Experience with telehealth billing and value-based care models is a plus